PEDIATRIC ORTHOPAEDICS
Tocilizumab treatment in systemic juvenile idiopathic arthritis
N Engl J Med. 2012 Dec 20;367(25):2385-95. doi: 10.1056/NEJMoa1112802112 children, ages 2-17, suffering from active systemic juvenile idiopathic arthritis (JIA) for longer than 6 months with inadequate responses to non-steroidal anti-inflammatory drugs were included in this trial. In the first 12 week randomized double blind phase, participants were treated every 2 weeks with ether anti–interleukin-6 receptor antibody tocilizumab or with a placebo given intravenously. For the second phase, patients, meeting the predefined criteria for non-response, were offered open-label tocilizumab extension up to 5 years. In the first 12 weeks, patients demonstrated improvement with tocilizumab treatment compared to the control, but had developed adverse events, such as, infection, neutropenia, and increased aminotransferase levels.
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